1 The most common causes of anaphylaxis include drugs, such as penicillin, insect stings, foods (peanuts, shellfish), X-ray dye, and latex. 2  The symptoms of anaphylaxis may vary and can include hives, tongue swelling, vomiting, and even shock.
The maximum pharmaceutical dose that can be taken daily of regular tramadol is 400 mg (two 50 mg pills 4x a day). Read More. The maximum dose is 400mg a day, if your taking 50mg pills 4 would be 200mg, so your taking half the daily maximum.
Furthermore, only one extended release tramadol tablet should be taken at any given time. The maximum dose of extended release tramadol itâs safe to take is 300 mg, because thatâs the largest dosage the drug comes in. Taking two of these pills at once could cause very serious side effects, most notably seizures.